Healthcare Provider Details

I. General information

NPI: 1073449237
Provider Name (Legal Business Name): ANA RIZEA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13000 N 103RD AVE
SUN CITY AZ
85351-3024
US

IV. Provider business mailing address

12146 W BLOOMFIELD RD
EL MIRAGE AZ
85335-3316
US

V. Phone/Fax

Practice location:
  • Phone: 602-772-7818
  • Fax:
Mailing address:
  • Phone: 602-772-7818
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-26-525325
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: